HomeMy WebLinkAbout2885 MENDOZA DR - Building Permits'
�
� � CITY OF COSTA MESA '
�stp"' B!/ILDING D►V/SION �' �
>` �`� 77 FAIR DRIVE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
:
° � FOR INSPECTIONS CALL: (714) 754•5626
��"°"°"°fi PERMIT NUMBER: 609-00324
PERMIT TYPE B_ROOF2
APN: 14157311
JOB ADDRESS: 2885 MENDOZA DR CM
Vicinity: •
Squares: 2700
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Valuation:
ISSUED
12/2112009
KJB
$9,900.00
SCOPE OF WORK; TEAR OFF EXISTING ROCK ROOF. INSTALL BASE SHEET AND BUILT UP ROOFING. FLAT ROOF. INCLUDES
ATTACHED GARAG6. .
OWNER: TING, JOAN TR Address: 1115 EL CAMINO � �� - Unit:
PHONE: ,� City/State/Zip: COSTA MESA, CA '�
APPLICANT: BERQER, REFUGIO ' Address: , . , Unit: :
PHONE: 714-836-6384 City/Stale/Zip: - � - � :r�r,l {}+^'>�r9,
_:.,�' .�.i��
CONTRACTOR: R B ROOFING AND TEAR OFF License No. 772680
Address: 1615 S MINNIE STUnit: PHONE: 714-836-8384 �
City/State/Zip: SANTq ANA, CA 92707 CELL:
'ARCHITECT: License No. PHONE: �
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
TOTAL FEES
$0.00
$181.25
$0.00
$1:00
$182.25
License No.
RHONE:
;r,.`. �
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i3�iit: .
�F� '��i. �d.;"2
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and relatetl
regulations. (Ord. No. 92-28, § 1, 72-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will resWt in the expiretion of this permit.
GOOE I. INSPELTION TYPE �ATE INTITIALS CODE N INSYECiION TYPE �ATE .�' _•� INTITIALS
1676 F'ixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plum6ing �
20o Final Re-Roo/ 3..QO V 2 W Final Eleciriwl �� �'
201 Final BIocWRetainin9 Wall 212 Final Fire Prevention
202 Final Factory Firg Place 220 Final Planning Approval -"�
203 Final Sign 222 Final Site ', r' t��' ��
204 Final Demolition 250 Final Building/Occupancy
WORKERS' COMPENSA710N DECLARATIO�
I hereby affrm undeF�enalty of perjury one of the following declarations:
•
❑ I have and will maintain a certificate of consent Io self-Insure for vrorkers'
compensation, as provided (or by section 3700 of the Labor Code, for the
per(ounance of the work for which �his permit is issued.
I have and vrill maintain v.orkers' compensation insu2nce, as required by
s�ion 3700 of the Labor Code. for the peAortnance of the vrork for which Ihis
pertnA is issued. My vrorkers' compensation Insurance wrrier and policy
number are: .�—
������--,.s ���-� �- � n d
(This sectiwr nee0 no( �e cromplefed R�jMe permd is valued al one huntlred tlollars (5100) o� less )
�.O�fcY�hhniibe(7- � � � � L � �
� I certify that in the peAortnance of the work for which lhis permit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of Cali(ornia, and agree Ihat if I should
become subject to Ihe workers' compensation provisions ot Section 3700 of
the Labo tle, I halllo hwith comply with these provisions.
lZ�z��ay
" AP 's'S19rt3ture�n- C'�1.�On�e+A
����•
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affrm that I am licensed under pmvisions of Chapter 9(commencing
with Section 7000) o( Division 3 of the Business and Professions Code, and
my license is in tull force antl eHect.
L�iC'ST � D .#. . � � � �
2 2 04
�ootraGOKaSip�awrew� ?� [�`�Date---�^—�
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrm that there is a construction lending a9ency for the
peRortnance ot the work fv wfiich this permit is issued. (Sea 3097, Civil Code).
Lender's Name:
Lender's Address:
Date
OWNER-BUILDER DECLARATIONS:
I hereby aKrm tha� under penalty of perjury Ihal I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW (or the following reason (Sec. 7031.5,
Business and Professions Code: Any city or county which requires a permit to
conswcl, alter, improve, tlemolish, or repair any strucNre, prior to its
issuance, also requires the applicant for such permit to file a signed statement
that he or she is licensed pursuant ro Ihe provisions ot the Contractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of t�e
Business and Professions Code) or tha[ he or she is exempt therefrom antl
the basis for the alleged exemption. Any violation of Seclion 7031.5 by any
applicanl (or a permit subjects the applican[ to a civil penalry of nol more Ihan
Me hundred Dollars ($500�.):
❑ I, as ovmer o( the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the sWcture is not intentled or
offered for sale (Sec. 7044, Business and Pmfessions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
thereon, and who does such vrork himself or herself or through his or her own
employees, provided that such impmvements are not intended or ofteretl for
sale. If, however, the building or improvement is sold within one year of
completion, the ovmer-builder will have the burden of proving ihat he or she
did not build or improve for purpose of sale.). ,
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WI7H
LICENSED CON7RACTORS to conslruct ihe project (Sec. 7044, Business and
Professbns Code: The contractors License Law dces not apply to an owner of
property who builds or improves thereon, and who cont2cts (w such pmject with
a contracta(s) license pureuant to the Contrectors Ucense LavS.).
❑ I am exempt untler sec.
Business and Professions Code for this reason:
Owner ID verified by drive, nse. ❑ Yes ❑ No
Oriver's License No. Expir�s: �
Verification of Ownership by (type of document, i.e. - propeAy tax hill or deed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby ceA"rfy thal no excavation frve (5) or more leet in depth into which a
person is required to descend, will be made in connection with vrork authonzetl
by this permi[, and lhat no building sWcture, scaffdding, falsev.vrk, a tlemolition
or dismantling thereof, will be more [han thirty-six (36) feet high. (Chap. 32, Grp
2, Art 2, Sec 341, Title 8, Califomia Administrative Cotle).
❑ As owner-builder, I will not employ anyone lo tlo vrork which would
require a permit from Ihe Division of Indus�rial Safety, as noted above, unless
such person has a permit to do such work fmm Ihe division.
Appliwnl's SignaWre Date
Division of Industrial Safety Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future builtling occupant need to file and
certify a Business Plan for emergency response lo release or threalened
release ot a hazardous matenal? ❑ Yes ❑ No
(Section 25505 of the Califomia Health and Safery Code requires, with some
exceptions, that a Business Plan be filed with the Costa Mesa Fire
Departmen[ by every business which has at any one time dunng a reported
year a quantity of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic (ee[ of compressed gas
at standard temperaNre and pressure).
2. Does or will [he applicant or present or fu[ure building occupaM need to (le
a registration torm tor acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 ot the Califomia Health antl Safety Code, wiN some
exceptions, requires registration with the Cosla Mesa Fire Department by
each business which at any one time has on hantl a quantiry o( acutey
hazardous materials equal to or greater than a vreight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at slantlartl
temperature and pressure).
3. Does or will the applicant or present or fuNre building occupant need lo
prepare an RMPP (Risk Management and Prevenlion Program (or aculely
hazardous materials�? ❑ Yes ❑ No
(Section 25534 of Ihe California Health and Sa(ety Code provides thal the
Costa Mesa Fire Department may require the preparation, certification antl
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous matenals with the Fire Department.
4. I( an RMPP is presently required, has Section 25534 of the California
Health antl Safe[y Code been fully complietl with? ❑ Yes ❑ No
5. Does or will the applicant or present o� future building occupant require (or
the vrork which is the subject of this application a permit for such constmction
or motlification from the South Coast Air Quality Managemen[ District or from
any other air pollulion conlrol district or agency? ❑ Yes ❑ No
(Sectbn 658502 of the Califomia Govemment Cotle requires that the requested
infortnation be fumished on applications far non-residential building pertnits).
6. Will any part of the facility to be consWcted under this permit be wilhin
1000 feet from Ihe outer boundaries of a school? ❑ Yes ❑ No
p( "yes", the facility must meet [he requirement of Sections 25534 and 42303
of the California Health and Safery Code).
7. If a permi[ from the South Coast Air Quality Management DisVict or other
air pollution control district or agency is required tor Ihe work which is the
subject of this application, have all of the disclosures prescnbetl by Califomia
Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No
8. (If'yes", attach certificate of compliance from the appropriate air pollution
conhol officer).
CERTIFICATE OF COMPLIANCE: I certify that. under penally of perjury Ihe
information qiven above is correcL I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
SignaWre �ate
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty ot perjury ihat I have read Ihis application and state that
the information given is correcL I agree to comply with all state laws antl ciry
ordinances relating �o building construction, and authorize represeMatives of
the City o( Costa Mesa to enter upon the above-described propeAy for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until fnal inspection.
�y1 Signa W re o( Legal Owner(s) Qr Daler� �
519nature Dale 1\ �`�(fi"� i.0 ���1JU �Z � L/V /�t�
]09-a6 (3I0])
(����l.h�IhwfzaCMWu'an�� �""'Oale—DtLr_^
�
PflOJECi AOOPESS: 2 B B S MENDOZA DR
OWNEH'S NpME: SOAN TING
aooeess: SAME
UNIT:
ANCXIENGINEEB: � . flEG.NO.: '
AOUHESS: � UNIT:
Penmmee:' R.D:\PLUMHING 6 SOLAFt ( 714 ) 770-3333
aooRess: 374'• P.O. BOX
EL TORO CA 92630
❑CENSEO CONTXACTOB OECLAflATION: I �ereby a�firm �hat I am licen5ed under pmvisions ol Chapler 9 jcommencing wi�h Seciion
7000) o� �iksion 3 a� Ihe Busines5 antl Pr ssions Cotle. and my license is in �uli fome and ellect. '
cirruc.:034861 sTaTeuc.: 32 cus'a/.'v}r� 36 ,
oate: LIT� y— � Ci SigwNre. _(„� L�j�j ��
WOBREBS' COMPENSNTION OECIAflATION: I herebY aflirm ave a certi�icate o� consenl �o sel4insure ar a certi�icate of Workers'
compensaron.�s�� w� ��t�t e� r.�wg inereoi (Section aao4 �ay � 9� 1 1/ 91
POLICY NO.: E%P. DPTE:
COMPaNY: CNA INS ,.y�
�� 0 Certihetl copy is hereby Wmished. l, Certifietl copy i �ile�tll wi�h [he cily B ing Divisian. /�
�ate:T,� � �-��Q APPlicanC.�il//�/<� �Ci✓/"�/
E%EMPTION FBOM WOPNENS' COMPENSATION DECLANATION: �This section nee0 no� �e com0leleA il ihe permi� is br one hunOreO (5100� or less)
I cetltly �ha� in the petlorman[e ol Ihe work lor which Ihis permii is issuetl, I shall no� employ any person in any manner so as to become
su�lect Io the Workers' Compensalmn Laws of Cahlomia.
Oale: - SignaWre:
NO710E: If, afler making Inis aeclaralion, yaq shoultl �ecome subiect to ine worker5' Comp¢nsation�provisions of ihe Labor
Code. you mu5�,brlhvnih comply wilh suc� pmvisions or this permi� shall be 4eeme0 revok¢tl. ���
CONSiflUCTION LENOING AGENCY: I nereDy altirm Iha1 ihere is a conslmction Iending agency br ihe' perlormance oi the work for
wAich IhiS permn is i55ue0 �SetliOn 3097. Civ. C�.
LENOEH:
FODNESS: � '
OWNEfl BUILUEF OECIANATION: I �ereby affirm Ihat I am exempt from the Contractors' State License Law br ihe follawing reason
(Section 703L5 6usiness antl Prolessional Code: Any city of caunry which requires a D¢rmii to cons�mct, al�er, improve, demolish, ar
repair any s�mclure, O�iar to its issuante. also requires ihe app6cant �ar such permit �o file a signetl s�a�ement ��at he/she is licensed
pursuant �o the pmvisions oi �he Con�raqors' S�a�e License Law (Chapter 9(commencing wilh Seclion 7000) of �ivision 3 at �he Busine55
an0 Pwiessions Code) or �hal helshe is exemp� Iherefmm antl the basis lor �he alleged exemption. Any viola�ion of Section 703L5 by
any appbcantfor a permit sublecis Ihe aDPlican� to a civil penalty of not more ihan tive huntlred tlallars ($500). .
I. as owner o� Ihe pmpeny or my employees wi�h wages as their sole compensa�ion, will tlo �he work, and the
❑ stmctureis na�in�endetl orollere0 tor5ale (Sec�ion 7044, Business antl Pro�essional Code: The Con�ractors' S�ate License Law
Ooes not apply lo an owner o� a propetly w�o builds ar impmve5 ihereon, antl who tloes such work himself/herself or through
hi5 or her own employees. providetl �ha� Sut� impmvements are no� inlen0ea of ollefe0 lof Sale. If, however �he buiiding or
impmvemem is so10 within one year of completioq the owner will have the burden oi pmving he/she Di0 not huild or improve
for the vurpose of sale�.
I. as owner o� ihe O�opehy, am exclusively cantrac�ing with licensed conlracbrs lo consimc� �he O�ale�� (Seclion 7044, Business
❑ antl Pmfessions Code: IDe Conirac�ors' S�ate License Law tloes no� apply la an mvner ol pmpe�y who builAs ar improves �hereon
an0 who [onlrac�s lar su[h pmjec�s wiih a conilac�or�s) license pulsuan� IO IhP COIIVdCtOR' $fdi¢ LiC¢I15¢ Ldw). I dm dwd�¢
ihat proof of Iheir Worke�'s Compensation insurance should 6e DmviOed to me. '
� I am exemp� untler Section: B. 8 P. C.
for this reason:
�ale - Owner.
I do hereby cetlify Ihat I am aware ol antl un0ers�and Ihe reqmremen�s of Cali�omia Heallh and Sa�ery Catle Sec�ions 25505, 25533, antl
25534 ana thai I or anY �ulure builtling occupanl willlwill no� (circle one) neeA �o camply with saitl s�aie co0es antl Ihe requiremen�s �or e
permi� for consimc�ion or moUilication �mm Ihe Air Qualiry Management DisVic�. Residential consimc�ion applica�ions are exempt �mm
these pmvisions. . '
�a�e: qpplican�'. �
I �ereby cer�ity Ihat I have read Ihis applicaiion antl state tha� �he above in�ormation is correcl. I agree to comply with all ciry and counry
drdinances an0 s�ate laws relaling Io builaing consimclion antl �erebyaWharize repres nlalives oi Ihis iry �o enter up n the above-mentionetl
propetly forinspectian purposes. /
Da�e: � � �/ 0 Signalure: _ _
ori�ers ucense o� sociai secuniy a:
t6a1-a6 White-0wltling; Green—Coae EniorcemenL Canary—ApplicanC Pink—qevenue: Gobenrotl—Auessar
CZTY OF COSTA MESA — BUILDING PERMIT
PERMIT NO; P D99929 PLAN CHECK NO: N
CONSTRUCTION TYPE;,S—N �—��PERMIT TYPE: PLU
JOB DESCRIPTION : REPLACE SEWER LINE,
.� � . ��-
!�t I � �.. �
. .� � • i
SQ FT:
CLAIM VALUE: CALC—VALUE; GROUP OCC; R-1 /
COMMENTS•
ft*�t�t�t�t�tx�*�t*�t*�t�ti�**�t�t�t*it�t�t�tit�x*x-x-**�*ft**�t�t�t�t*at�tft��t*�t �t**it �titit�-i�*itit �t�t�tit�t�t�t�tit�t�at�ititi�*+t�t�t
'7. O N I N GS ERTEBQAUCIKRSE M E N T S �
------------ MAZN BUILDING ---------- --------- ACCESSORY BUILDING ------.---
FRNT: FT' IN REAR; FT IN FRNT; FT ' IN REAk; FT IN
LEFT; FT IN RGHT: FT IN LEFT;' FT IN AGHT; FT IN
PARItING REQ• PROV: PARCEL; 00000000 ZNE; REF NO;
PLANNING NCST'ES>
� � �
�N� if �f �If �lk i(� iE IF 3E lE IF 1E fE If 1f iE if �If 3F il� if if iE IE IF iF if if 1f� iE 3F iF if 1F iE iE fE IE iE if If iF If if iE I(� # 1E 1Elf iE iE if iFlEif 1E iE #�1E #E if iflf !E IFlE 1f 1E if iF If 3F # if �IF iF 3F iE
D E V E L O P M E N T S E R V I C E S�. R E Q U I R E M 6 N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DI+.TE;
APPLICATION ISSUED BY� , — DATE� �������.
IEIEiEiFifiElEiE#1E1f3FiE3EifiF3EiEiEitiE1F �IFiFitlEif�EiE�IEiFk jEjF
�fiFiElfff3E1E1EiEiFIFiEiElEiEiEiEk#*IE�EIEiE1FiEiF1flFlElfiEifiEiE�F1FiFiEififiEifjF�f iklfikiFif)FiF*3fIfiElFiEaE1E�FjflEiEiEif1E1F1E1EiflEiEiFiEiEif
LEGALTZATION:N F E E S U M M R Y ' STRUCTURAL SEGMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANIC ' FIRE SMIP/RES GRADING
PEkMIT 5 00
'LSY SMIP/NON—RES
PI.AN . �
ISSUE FEE 3,00- ' '
BUILDING—UIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAII) DUE
TOTALS----> 5.00 3,00 � 0.00, 8,00 8.00 : ,QO
REVENUE DIVISION TOTALS--> COLLECTED; 8.00 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
8 . � Q '
0
iE �E 1E iE 1E if fE )k iF iFlE �F jf 3E 3E iF iE iE if jE IF 3f IF iE 1f iE if if if k fE fF if iF fE 1f if k!F iEiF lilf if if 1FlFlf iF 3F iEif if fE dF iE iFiF ff iE 3F ik aF if )f �F k if If iE k iF )t 1f * iE i6 jE iF
I N D I V I D U A L F E E B R E A K D O W N
TYPE (�TY D E S C R I P T I O N UNIT COST TOTAL COST '
PLU 1' SEWER, HUILDING / TRAILER ' S.00 �,00
� END OF FEES
. . '� . �
�t ��It3%JYi�/v'��1�7Y�r%g TI_Ai� ,
�AT.:.I1.'16/9G Tif1E: 1ic37 ��y' :
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CONSTRUCTION AND'PLANNING - PO� SPA
APPROVALS Permit #- Date Inspector AppROVAIS Permit # � Date Inspector
.'
1. Temporary Electrical SerJice or Pole _ 1 52. Pool & Equipment Location
� y..
2. Soil Pipe-Undr�qrnd. �'`� _ �('� �(� 53. �Steel Reinforcement �.
�_ � �
�3:,Electrical Conduit,Utility-Undrgrnd. � ' 54. Forms
4. Electrical Conduit�Undrgrnd.� - � 55. Electrical Bonding ��
;', 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test ��
. 6. Electrical UFEA Grnd. �� _ 57. APPROVAL TO COVER-GUNITE
•; 7. Footings - ;��- 58. Electrical Conduit-Undrgmd. - r;;
�, 8. Foundation � �"�•. �' ' 59. Gas Pipe, O Undrgmd., Test •�'? Y
.� ,.�
9. Water Pipe-Undigrnd. �', �� ,•r � 60. Backwash Lines, P-Trap, O Undrgrnd. �"� !%
10. Structural Floor SYstem � v' .. f 67. APPROVAL TO DECK � ����
i t. Property Sewer L�ne & House Connection j� 62. Backwash & Receptor-Final "
,7
12. Sewer Cap , _`lj „ * 63. Heater & Vent-Final �%
1,;
13. Roof Drains " J!' 64. Plumbing System - Final ' i'
.. �ia
74. Rough Plumbing ' j ��/ /��j� 65. Electrica6Final �
.�
15. Rough Electrical-Conduit � 66. Solar System-Final �
16. Rough Electric Wiring 67. Fencing & Access ApProval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrital-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.I;Rough Factory Fireplace r " • : = `_� " :^ � �APPROVALS =�`_Permit #
.r :o� ..:' �S r-r. .;,
21' DuCts, in Structu e. ' .. _ - ' - . . �= � �.� ��� J . .
i� . > .70. Undergcound Hydro
22._Ducts, Ventilating • •� . - _ = �¢ � -77, product,?iping OG�as OOiI
23.. Gas Pipe�Rough $� Test � , ,- - - - � 72. Underground FIusF, , :
24cRoof Framing �• - ^ ^� - " �73:.Undergmd.Storage_.Tank:OGas ❑Oil
25. Roof Sheathin �� � �
g �- :. ;� ;�;, .- �74? Overhead �Hydro_ ! t
26. T�Bar Cei�ing (Structural) &;Monocoat 7- - ° 75.;Dry Chemical � ' _ �
.- - , - .
27` Frame a�d Flashin§ �,� ,, - r " a.:;. ; 76: Dry Standpipe '_ ;;,, �' '
t •
�. 26. Lathingt& Siding -. ? •� i� �� 77: FIXED SYSTEM FINAL" "
�29. Insulatlon �, " � . � � �� �; : 78�- fIRE PREV' FINAL > > _ -_
+ 30. Drywall Nailing �* �� r� � a1� " -• � HEALTH�DEPT, RE�UIREMENT
�
- 31. Plaster �Brown Coat' � - � I ���� ~ ,.79` FINAL`INSPECTION :, ' �
._ . . . � - � � �. � � - � �
32.=Electrical Power Meter�Final .. ( �_ ,�r . �•80 *.FOOD CERTIFICRTE ISSUED
, 33.'.Final Electriq � � � ` `" ' ;� �Il; .` ' Notes: _ -' °; ~ - _
��34 Final Heating & Air Condi2ionin9; ' � � .,. . �j'" � _ ' , _ _
i.
35TFinal Gas Pi�pe-Test` �,'' i � � � f _ ` _ . � - �
36 � Hood or CanoPY 'Q t�• -' - � ����'�I�• - ' ���- . �.. ' .
i Y � % .,. ,
37�Final Factory Fireplace_ � _ � " � �1 " ; •'
�/-�.;. > r��
- 38. Final Plumbing . N � • � i� L' IE_�1'� _ � �
.' 39. Water Service�Final �� � ' T�' ' � � �
a - i ! a ~
.�,40. Gas Service-Final � : � r : ' , . a � ; " �
� •L' O :J
' 41. Solar pomestic-Firtal�. ^ �' � ' = _ � <
- � t+i - - x - .
: . , . , ,� ' - �
42:'Backflow Preventer ,;: 4 ; r; i . .-
43. Backflow Irrigation - -� _ ' ' - , '
.44. Landswpe Iriigation System. �z -, ': ' -x � ?: ! '�r � r ;j "
45: Sound Attenuation - �_ _ - .-c � . ;
, T : � . _ _ ..
- 46. Handicap Regulations '_ :' .r :.h - - _ ., 'x
�47, FINAL STRUGYURE & BUILOING � � ''�'`� �'� ' �' > ,
� c i I i �'� ' .3" .
-,i.r � � -�. : .ti �
48. �FINAL PIANNING _ . p, � � "�;: -. ;r � - -"
49�Elec[ric Release to:Edison � ' j��� .: a' � - r .
� 50, Gas Release to $ouihern California Gas Co ` i � � ��; , :' - . �-_�'' � - .
.51. CERTIFICATEQFOCCUPANCY t � i. . i; �n-� _. , �-. .
No. Date �
City of Costa Mesa
Building Safety Departmant
P. O. Box 317
Cosfa Meso, Californio
,..
CERTIFICATE OF OCCUPANCY N° 1895 C
The Building located m��$5 biendov..a. rive? A, B� C Etrid D
has been inspecfed and found to comply with }he provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group H�'7 � Occupancy. �
Use of B�ilding��y��lE."Y i1CCit�C-i2CQ Y73'CIl 8.t'�C.t3.CIlE'fI.___$�2'S}ifGu _
�egal Description � � ��� u '�l'"�e� �-
. � (See ravarse :ide for Metes and eounds) �
9uilding Permit No. ��9� ElecTrical Permif No. 1y�+2 Plumbing Permit No.�--
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
fequired �nder Sec. �2308 U. B.' C. . required under Sec. 3301 (1) U. B. C. —
17050. CERTIFICATE Of OCCUPANCY. (a) No apaAment house, hotef, or lodging ho�se shall be used or occupied
until.the owner or operator has been issued�a valid certificate of occupancy by the enforcement agency. -
(b) A new certificate of occupancy sholl be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof ..
2) The n�mber of apartments or guest rooms
� 3) Ownership
If Group H Occupancy, number of aparfinenfs and/or guest rooms as req�ired under Sec, 17050.1 (dJ, California
Administrative Code, Title S, Chapter 9, AAicle 8.
Number of apartments—F'v�•' and/or guest rooms
ISSUED TO:
Dlllm�n - �^�an�.lb T�t�pric.c
Building Official
by �a�c.� �( , ,C���c�v%�
Date A'k3.r.�h 6. 19fi�
7his Certificafe of Occupancy SHALL BE posfed in a conspituous place on the premises and SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. For,,, suaa-iM—ii-s�-s-s r
OWNER nnrT,+err_urxrt.mn
JOB ADDRESS Q$$5 j
GEN�RAL CONTRACTOR
AP No. LOT
7' ��CTIONS
i
Gas
e
MAR 1 � 1963
DATE
thY'U �D BUILDING PERMIT NO. 1
ter�rises vaLUE 9 31,1?8:00
� RIR� ZONE DESCRIPTION OF WORK4-�11@X W 8t�'ty.�
DA E GROUP H&J TYPE V 7,ONE IZ i/^"
SUBCONTRACTOR
� 2 ts i
� 18
COSTA MESA BUILDINGSAFETY DEPARTMENT
P. O. BOX 91] C08TA MEBA. CALIFORNIA
For Applicanf fo Fill In Complefely
� TYPE�OR PRINT
ILDIN6 en oza�c�,,(1v
DRESS K �6�✓`
COSTA MESA, CALIFORNIA
■ MAIL
& Son
aooRess � �—
CITY
STATE
LIC. NO. '
SIZE.. n�f�__nn�
NO. OF BLOOe.
USEOF' -- '
EXISTINGBLDG. '
6ETBACN LINE FROM
CENTEP OP 9TRE6T �O � REAR
SIDEYARDI LEFT O� I RIGHT
DESCRIPTION OF WORK
NEW � I X II ALTERATION I II A�O
L
i HEREBY ACI(NOWLE�O¢ THAT 1 H�VB RP.�O TXIB ApPLIC/�TION
ANO BTATE THAT TH8 ABOVE 19 CORqBCS�ANO AOREE TO COM-
PLY WITN ALL QTY ORUI! iClB I 8 LAWB q80ULATINO
'BOILDINO CONBTPYCTIq1
/
SIGNATURE OP
PERMITTE
AUTHORIZED AGENT . . .. .
FE RECEIVED
�AR_ a 1963
I� �„ DEPT.
APPL ATI�IY'�'��RMESA
�i�o
For Office Use Only
I PECE�P� NO. I PENMIi NO
iesuec
ZONING
ZONj�.f `' /. � NO.OF'"� � UBEOFNEW
_ /� •-� PLANe (/ BNLOINO(�I�
�/ L �
oeecairnon % B'/ / �, �/:',}� 9 z �
A. P. NO. �
NOTE: NO EAVE OVERHAN6 6HALL BE LE59 THAN
90" TO SIDE 8 REAR P. L.
EAVES
ALLOWED (U.B.G.REQUIREMENT'.
" YARDSAPPROVED YAROSAPPftOVED
MAIN BUILDING ACCESSORY BUILDINO
DISTANCE BET. � BET.I
MAIN BLDGS. ACCE
VAR. SC .OATE
� ��y 80. �.. � �
THE AMOUNT BXOWN UNOER VALIIATION 18 FOP TH8 g
PURP08E OF E9TABLI6HIN6 A PEHMIT FEE ONLY. 0
VALUATION • ^��G m
' PERMIT FEE $ Y �
/� ]
f ��//p � CH C o
F
FEE